License holder summary

Lane, Kelly Therese is a Dental Hygienist licensed to practice in Missouri. The address on file for Lane, Kelly Therese is 16411 Andraes Drive  63005. This licensed professional license is current. The license was granted 02/09/2001 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Lane, Kelly Therese
Dental Hygienist
License number
2001003369  
Date granted
02/09/2001
Date expires
11/30/2014
Class
Dental Hygienist
Status
Clear
Address
16411 Andraes Drive 
licensingmissouri.org
ID 2004909
LAST UPDATED 2024-05-20 04:27:06 UTC

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